Hope for rare Muscle-Weakening disease: new drug trial targets Antibody-Negative patients
NCT ID NCT06298552
First seen Jun 27, 2026 · Last updated Aug 11, 2026 · Updated 2 times
Summary
This study tests an investigational drug called efgartigimod, given intravenously, for adults with generalized myasthenia gravis (gMG) who do not have the typical acetylcholine receptor antibodies. The trial compares the drug to a placebo to see if it improves daily activities and muscle strength. About 119 participants will be followed for up to 2.5 years, with all eligible participants receiving the drug in the second part of the study.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
119 people
The number who actually took part.
- Started
-
Apr 2024
- Expected to finish
-
Jun 2028
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The participant is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF. * The participant is capable of providing signed informed consent and following with protocol requirements. * The participant agrees to use contraceptive measures consistent with local regulations and the women of child-bearing potential (WOCBP) must have a negative serum pregnancy test result at screening and a negative urine pregnancy test result at baseline before receiving the study drug. * The participant has no known weakness in infancy and later develop fatigable weakness after aged 16 years and diagnosed with acquired gMG of both of the following: 1. History of abnormal neuromuscular transmission demonstrated by single fiber electromyography or repetitive nerve stimulation (RNS) or is for anti-muscle-specific kinase antibodies (MuSK-Ab) seropositive 2. Either a history of positive edrophonium chloride test OR a demonstrated improvement in MG signs with treatments such as oral acetylcholinesterase (AChE) inhibitors, plasma exchange (PLEX), immunoabsorption, or intravenous immunoglobulin (IVIg)/ subcutaneous immunoglobulin (SCIg) treatment * The participant is receiving a stable dose of MG therapy before screening, including acetylcholinesterase (AChE) inhibitors, steroids, or nonsteroidal immunosuppressive therapies (NSISTs) in combination or alone Exclusion Criteria: * Known autoimmune disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of gMG or puts the participant at undue risk * History of malignancy, cancer, unless considered cured by adequate treatment with no evidence of recurrence for ≥3 years. Adequately treated participants with the following cancers can be included at any time: Basal cell or squamous cell skin cancer, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidental histological findings of prostate cancer * Clinically significant active infection that is not sufficiently resolved in the investigator's opinion or positive serum test at screening for active infection with any of the following: Hepatitis B virus (HBV), Hepatitis C virus (HCV), HIV * History of or current alcohol, drug, or medication abuse as assessed by the investigator * Pregnant or lactating state or intention to become pregnant during the study * Live or live-attenuated vaccine received \<4 weeks before screening * Worsening muscle weakness secondary to concurrent infections or medications * Received a thymectomy less than 3 months before screening or thymectomy is planned during the study The complete list of exclusion criteria can be found in the protocol.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Generalized myasthenia gravis are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
AHEPA University General Hospital of Thessaloniki
Thessaloniki, 546 36, Greece
-
AP-HM- Hôpital de La Timone
Marseille, 13386, France
-
AP-HP - Hôpital de la Pitié Salpétrière
Paris, 75013, France
-
AZ Sint-Lucas Gent
Ghent, 9000, Belgium
-
Aarhus Universitetshospital
Aarhus, 8200, Denmark
-
BayCare - St. Anthony's Hospital
St. Petersburg, Florida, 33705-1410, United States
-
CHU de Nice-Hôpital Pasteur
Nice, 06000, France
-
CLINIREM Sp z o.o.
Lublin, 20-883, Poland
-
Centrum Medyczne Neurologia Slaska
Katowice, 40-689, Poland
-
Charité - Universitätsmedizin Berlin
Berlin, 13353, Germany
-
Cleveland Clinic
Cleveland, Ohio, 44195, United States
-
Cliniques Universitaires Saint-Luc
Brussels, 1200, Belgium
-
Cluj County Emergency Clinical Hospital
Cluj-Napoca, 400012, Romania
-
Cyprus Institute of Neurology and Genetics
Égkomi, 2371, Cyprus
-
Desai Sethi Medical Center
Miami, Florida, 33136, United States
-
Duke University School of Medicine - Duke Early Phase Clinical Research Unit
Durham, North Carolina, 27710, United States
-
Eginitio Hospital
Athens, 115 28, Greece
-
Erlanger Neuroscience Institute
Chattanooga, Tennessee, 37403-2173, United States
-
Fakultni nemocnice Brno
Brno, 625 00, Czechia
-
First Choice Neurology Boca Raton
Boca Raton, Florida, 33428, United States
-
First Hospital of Shanxi Medical University
Taiyuan, 030001, China
-
Fujian Medical University Union Hospital
Fuzhou, 350001, China
-
Genge Partners Inc.
Montreal, H4A 3T2, Canada
-
Guangdong Province Traditional Chinese Medical Hospital
Guangzhou, 518053, China
-
Haukeland Universitetssykehus
Bergen, 5021, Norway
-
Heritage Medical Research Clinic
Calgary, T2N 4Z6, Canada
-
HonorHealth Neurology - Bob Bove Neuroscience Institute
Scottsdale, Arizona, 85251, United States
-
Hospital Clinico Universitario de Santiago
Santiago de Compostela, 15706, Spain
-
Hospital General Universitario Dr. Balmis
Alicante, 03010, Spain
-
Hospital Universitari Arnau de Vilanova
Lleida, 25198, Spain
-
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026, Spain
-
Hospital Universitario Ramon y Cajal
Madrid, 28304, Spain
-
Hospital Universitario Vall d'Hebron - PPDS
Barcelona, 8035, Spain
-
Hospital de La Santa Creu i Sant Pau
Barcelona, 8041, Spain
-
Hospital de Santo António - Unidade Local de Saúde de Santo António
Porto, 4050-011, Portugal
-
Huashan Hospital Fudan University
Shanghai, 200040, China
-
Hôpital Erasme
Anderlecht, 1070, Belgium
-
Kansas University Medical Center - Kansas City
Fairway, Kansas, 66205, United States
-
Katholisches Klinikum Bochum - St. Josef Hospital
Bochum, 44791, Germany
-
King Faisal Specialist Hospital & Research Center
Riyadh, 11211, Saudi Arabia
-
Krakowska Akademia Neurologii Sp. z o.o.
Krakow, 31-505, Poland
-
LLC Caucasus Medical Centre
Tbilisi, 0186, Georgia
-
Leeds General Infirmary
Leeds, LS1 3EX, United Kingdom
-
Leiden University Medical Center
Leiden, 2333 ZA, Netherlands
-
Loma Linda University Health
Fresno, California, 93701-2234, United States
-
MICS Centrum Medyczne Bydgoszcz
Bydgoszcz, 85-065, Poland
-
Medsol Clinical Research Center Inc
Port Charlotte, Florida, 33952, United States
-
National Guard Riyadh
Riyadh, 14611, Saudi Arabia
-
National Neuromuscular Research Institute
Austin, Texas, 78756, United States
-
Nemocnice Pardubickeho kraje, a.s., Pardubicka nemocnice
Pardubice, 530 03, Czechia
-
Neurology Associates PA
Maitland, Florida, 32751, United States
-
New Hospitals
Tbilisi, 0114, Georgia
-
Ningbo Medical Center Lihuili Hospital
Ningbo, 315041, China
-
Odense Universitetshospital
Odense C, 5000, Denmark
-
Opsta bolnica MSB - Medicinski Sistemi Beograd
Belgrade, 11000, Serbia
-
Oslo Universitetssykehus HF, Ullevål
Oslo, 424, Norway
-
Ottawa Hospital - Civic Campus
Ottawa, K1H 8L6, Canada
-
Panthera Biopartners
Glasgow, G51 4TY, United Kingdom
-
Petre Sarajishvili Institute of Neurology
Tbilisi, 0112, Georgia
-
Pineo Medical Ecosystem
Tbilisi, 0112, Georgia
-
Qilu Hospital of Shandong University
Qingdao, 266035, China
-
Rigshospitalet
Copenhagen, 2100, Denmark
-
Rutgers-Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901-1962, United States
-
SFM Clinical Research LLC
Boca Raton, Florida, 33487, United States
-
Semmelweis Egyetem Genomikai Medicina és Ritka Betegségek Intézete
Budapest, 1082, Hungary
-
Sibiu Emergency County Clinical Hospital
Sibiu, 550166, Romania
-
Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital
Chongqing, 400016, China
-
Szpital Uniwersytecki w Krakowie
Krakow, 31-503, Poland
-
The Affiliated Hospital of Guizhou Medical University
Guiyang, 550004, China
-
The First Affiliated Hospital of Chongqing Medical University
Chongqing, 400016, China
-
The First Affiliated Hospital of Guangxi Medical University
Guangxi, 530021, China
-
The First Affiliated Hospital of Guangzhou University Chinese Medicine
Guangzhou, 510405, China
-
The First Hospital of Jilin University
Changchun, 130021, China
-
The Neurology Institute / Healthcare Innovations Institute - Coral Springs
Coral Springs, Florida, 33067, United States
-
Tongji Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430030, China
-
Turun Yliopistollinen Keskussairaala
Turku, 20540, Finland
-
ULS de Lisboa Ocidental, EPE - Hospital Egas Moniz
Lisbon, 1349-019, Portugal
-
ULS de Santa Maria, EPE - Hospital de Santa Maria
Lisbon, 1150-199, Portugal
-
UZ Leuven
Leuven, 3000, Belgium
-
Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX, Netherlands
-
University Clinical Center Kragujevac
Kragujevac, 34000, Serbia
-
University General Hospital ''ATTIKON''
Chaïdári, 124 62, Greece
-
University General Hospital of Patras
Pátrai, 265 04, Greece
-
University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599-7025, United States
-
University of South Florida (USF) Health - Morsani Center for Advanced Healthcare
Tampa, Florida, 33612, United States
-
University of Washington Medical Center - Montlake
Seattle, Washington, 98195, United States
-
Universitätsklinikum Würzburg
Würzburg, 97080, Germany
-
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu
Wroclaw, 50-556, Poland
-
Wellstar - Augusta University Medical Center
Augusta, Georgia, 30912, United States
-
West Georgia Medical Center
Kutaisi, 4600, Georgia
-
Xuanwu Hospital Capital Medical University
Beijing, 100053, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could targeted exercises turn down fatigue in myasthenia gravis?
- Can a new drug offer Long-Term relief for muscle weakness?
- Can a new drug ease the muscle weakness of myasthenia gravis?
- Engineered immune cells take aim at myasthenia gravis
- Can tracking daily life unlock myasthenia gravis mysteries?
- Can engineered immune cells tame a debilitating autoimmune disease?